P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalCentral Florida Lake Monroe Hospital Estimated FY2026 net: −$586K×

Hospital record · FY2026CCN 100161

1Hospital

Central Florida Lake Monroe Hospital

2Location

Sanford, FL (Florida’s hospitals on the map and in the table) 32771

Seminole County

3Type

Minor teaching · 221 beds · For-profit · Urban

4Care Compare stars

2 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

0.4511

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$312K estimate
Likely $238⁠–⁠392K; about $174 per traditional Medicare stay

Cut 1%

$312K

cut from its FY2026 Medicare inpatient payments, this site estimates estimate

For fiscal year 2026, CMS reports a Total HAC Score of 0.4511 for Central Florida Lake Monroe Hospital and a payment reduction decision of Yes.

That is 1% of about $31.2M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $174 per traditional Medicare stay.

Likely range $238–392K

Its score was above CMS’s line, so CMS cut its Medicare inpatient payments by 1% for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.4511 This hospital 0.4511 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.4511 This hospital 0.4511

Higher than 78% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 4 of 11 years

  1. 15Cut
  2. 16No
  3. 17No
  4. 18Cut
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25Cut
  12. 26Cut

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing MRSA down to the national median (0.641) would lower the score the most: by 0.2515, to 0.1996. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; MRSA added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Worse than 64% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value0.9936

    Z-score0.0358

    Part of score+0.0060

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Worse than 89% of the other 2,181 hospitals

    CMS value1.196

    Z-score1.3680

    Part of score+0.2280

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Worse than 65% of the other 2,354 hospitals

    CMS value0.636

    Z-score0.2145

    Part of score+0.0358

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 70% of the other 2,269 hospitals

    CMS value1.127

    Z-score0.4741

    Part of score+0.0790

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Better than 75% of the other 2,766 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

    CMS value0.177

    Z-score−0.7768

    Part of score−0.1295

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    added the most

    MRSA bloodstream infections

    Worse than 88% of the other 2,067 hospitals

    CMS value1.363

    Z-score1.3912

    Part of score+0.2319

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.99360.96230.0358+0.0060Worse than 64% of the other 2,808 hospitals
CLABSI1.1960.5591.3680+0.2280Worse than 89% of the other 2,181 hospitals
CAUTI0.6360.4890.2145+0.0358Worse than 65% of the other 2,354 hospitals
SSI1.1270.7950.4741+0.0790Worse than 70% of the other 2,269 hospitals
CDI0.1770.346−0.7768−0.1295Better than 75% of the other 2,766 hospitals
MRSA1.3630.6411.3912+0.2319Worse than 88% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(0.0358PSI 90+1.3680CLABSI+0.2145CAUTI+0.4741SSI−0.7768CDI+1.3912MRSA)÷6measures=0.4511Total HAC Score

This hospital’s score is 0.0719 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.4511, above CMS’s line.
1% cut PSI 90: z‑score 0.0358 divided by 6 = +0.0060PSI 90+0.0060 CLABSI: z‑score 1.3680 divided by 6 = +0.2280CLABSI+0.2280 CAUTI: z‑score 0.2145 divided by 6 = +0.0358CAUTI+0.0358 SSI: z‑score 0.4741 divided by 6 = +0.0790SSI+0.0790 CDI: z‑score −0.7768 divided by 6 = −0.1295CDI−0.1295 MRSA: z‑score 1.3912 divided by 6 = +0.2319MRSA+0.2319 Total HAC Score: 0.4511Score0.4511 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.5 1% cut PSI 90: z‑score 0.0358 divided by 6 = +0.0060PSI 90+0.0060 CLABSI: z‑score 1.3680 divided by 6 = +0.2280CLABSI+0.2280 CAUTI: z‑score 0.2145 divided by 6 = +0.0358CAUTI+0.0358 SSI: z‑score 0.4741 divided by 6 = +0.0790SSI+0.0790 CDI: z‑score −0.7768 divided by 6 = −0.1295CDI−0.1295 MRSA: z‑score 1.3912 divided by 6 = +0.2319MRSA+0.2319 Total HAC Score: 0.4511Score0.4511 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.5

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 900.0358+0.00600.0060
CLABSI1.3680+0.22800.2340
CAUTI0.2145+0.03580.2698
SSI0.4741+0.07900.3488
CDI−0.7768−0.12950.2193
MRSA1.3912+0.23190.4512
Total HAC Score0.4511
CMS’s line0.37920.3799

The money is a cliff

This program’s cut doesn’t grow with the score. Over CMS’s line, CMS cuts 1% of what traditional Medicare pays a hospital for inpatient stays that year; at or under the line, this program cuts nothing.

The chart draws what the cut would be for this hospital at any Total HAC Score, from this site’s estimate of its payments, with its own score marked.

Figure 3. The cut is a cliff, not a slope: this hospital’s score, 0.0719 over the highest score CMS didn’t cut, costs it about $312K by this site’s estimate, and at CMS’s highest score, 2.3133, the cut would be the same.
CMS’s line $0 at any score up to 0.3792 $312K at any score from 0.3799 $0at any score up to 0.3792 $312K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.4511 This hospital 0.4511 CMS’s line $0 at any score up to 0.3792 $312K at any score from 0.3799 $0at any score up to 0.3792 $312Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.4511 This hospital 0.4511

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$312,188
This hospital0.4511−$312,188
CMS’s highest score2.3133−$312,188

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($31,492,579payment−$102,960readmissions−$170,816value-based)×1%the cut=$312,188HAC cut

$312,188HAC cut÷1,796traditional Medicare stays=$174per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $312K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$103K and −$171K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $23,399,888
Teaching (indirect medical education) $754,412
Many low-income patients (disproportionate share) $693,339
Outliers: unusually costly stays $278,225
Capital: buildings and equipment $1,993,372
Uncompensated care $4,373,343
Total, before the three programs $31,492,579
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9956 − 1) −$102,960
Value-based purchasing (HVBP) base × (0.9927 − 1) −$170,816
After these two $31,218,803
HAC Reduction Program 1% of everything above; likely $238⁠–⁠392K −$312,188
Net of the three programs likely −$689K to −$472K −$585,964

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments on Medicare Advantage stays, a sole community hospital rate difference, and a low-volume adjustment.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
LineAmount (whole dollars)
DRG payments at the federal rates (the base)$23,399,888
Teaching (indirect medical education)$754,412
Many low-income patients (disproportionate share)$693,339
Outliers: unusually costly stays$278,225
Capital: buildings and equipment$1,993,372
Uncompensated care$4,373,343
Total, before the three programs$31,492,579
Readmissions (HRRP) (base × (0.9956 − 1))−$102,960
Value-based purchasing (HVBP) (base × (0.9927 − 1))−$170,816
After these two$31,218,803
HAC Reduction Program (1% of everything above; likely $238–392K)−$312,188
Net of the three programs (likely −$689K to −$472K)−$585,964

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score0.4511same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$312Ksame

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of 0.4511 and a payment reduction decision of Yes.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

What would it take?

Getting under CMS’s line would keep about $312K, this site estimates: the whole cut, however far under the score lands.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureValue that would read No
PSI 900.9317 or lower
CLABSI1.010 or lower
CAUTI0.457 or lower
SSI0.875 or lower
CDI0.065 or lower
MRSA1.156 or lower

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 0.9936 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.196 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.636 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.127 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.177 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.363 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. MRSA added the most to this hospital’s Total HAC Score of 0.4511 among its measured results: +0.2319.
  • PSI 90 +0.0060
  • CLABSI +0.2280
  • CAUTI +0.0358
  • SSI +0.0790
  • CDI −0.1295
  • MRSA +0.2319

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 900.0358+0.0060same
CLABSI1.3680+0.2280same
CAUTI0.2145+0.0358same
SSI0.4741+0.0790same
CDI−0.7768−0.1295same
MRSA1.3912+0.2319same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/100161/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Its longest run: cut 2 years in a row.

Figure 6. CMS cut this hospital in 4 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.2250, higher than 80% of scores; cutFY2016: score 6.2500, higher than 64% of scores; not cutFY2017: score 6.0600, higher than 65% of scores; not cutFY2018: score 0.4794, higher than 80% of scores; cutFY2019: score 0.2866, higher than 71% of scores; not cutFY2020: score 0.0212, higher than 54% of scores; not cutFY2021: score 0.1217, higher than 62% of scores; not cutFY2022: score 0.1162, higher than 64% of scores; not cutFY2024: score 0.1539, higher than 63% of scores; not cutFY2025: score 0.3763, higher than 75% of scores; cutFY2026: score 0.4511, higher than 78% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.2250, higher than 80% of scores; cutFY2016: score 6.2500, higher than 64% of scores; not cutFY2017: score 6.0600, higher than 65% of scores; not cutFY2018: score 0.4794, higher than 80% of scores; cutFY2019: score 0.2866, higher than 71% of scores; not cutFY2020: score 0.0212, higher than 54% of scores; not cutFY2021: score 0.1217, higher than 62% of scores; not cutFY2022: score 0.1162, higher than 64% of scores; not cutFY2024: score 0.1539, higher than 63% of scores; not cutFY2025: score 0.3763, higher than 75% of scores; cutFY2026: score 0.4511, higher than 78% of scores; cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20157.225080.6%cut
FY20166.250064.4%not cut
FY20176.060065.0%not cut
FY20180.479480.9%cut
FY20190.286671.6%not cut
FY20200.021254.1%not cut
FY20210.121762.8%not cut
FY20220.116264.5%not cut
FY2023no decision
FY20240.153963.2%not cut
FY20250.376375.7%cut
FY20260.451178.2%cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 2 of its 5 infection measures ended lower than they started.
CLABSI 0.86 → 0.31 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.857CLABSI, 2018: 0.679CLABSI, 2019: 1.218CLABSI, 2021: 2.706CLABSI, 2022: 0.000CLABSI, 2023: 2.291CLABSI, 2024: 0.309 CAUTI 0.64 → 0.79 1 0 ’18’21’24 CAUTI, 2017: 0.640CAUTI, 2018: 1.610CAUTI, 2019: 0.664CAUTI, 2021: 0.855CAUTI, 2022: 1.060CAUTI, 2023: 0.455CAUTI, 2024: 0.794 SSI, colon 1.04 → 1.15 1 0 ’18’21’24 SSI, colon, 2017: 1.045SSI, colon, 2018: 1.107SSI, colon, 2019: 0.483SSI, colon, 2021: 2.421SSI, colon, 2022: 1.189SSI, colon, 2023: 0.641SSI, colon, 2024: 1.153 MRSA 1.09 → 1.12 1 0 ’18’21’24 MRSA, 2017: 1.088MRSA, 2018: 0.000MRSA, 2019: 0.334MRSA, 2021: 0.682MRSA, 2022: 1.244MRSA, 2023: 1.568MRSA, 2024: 1.119 C. diff 0.79 → 0.22 1 0 ’18’21’24 C. diff, 2017: 0.794C. diff, 2018: 0.296C. diff, 2019: 0.727C. diff, 2021: 0.000C. diff, 2022: 0.115C. diff, 2023: 0.127C. diff, 2024: 0.220 CLABSI 0.86 → 0.31 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.857CLABSI, 2018: 0.679CLABSI, 2019: 1.218CLABSI, 2021: 2.706CLABSI, 2022: 0.000CLABSI, 2023: 2.291CLABSI, 2024: 0.309 CAUTI 0.64 → 0.79 1 0 ’18’20’22’24 CAUTI, 2017: 0.640CAUTI, 2018: 1.610CAUTI, 2019: 0.664CAUTI, 2021: 0.855CAUTI, 2022: 1.060CAUTI, 2023: 0.455CAUTI, 2024: 0.794 SSI, colon 1.04 → 1.15 1 0 ’18’20’22’24 SSI, colon, 2017: 1.045SSI, colon, 2018: 1.107SSI, colon, 2019: 0.483SSI, colon, 2021: 2.421SSI, colon, 2022: 1.189SSI, colon, 2023: 0.641SSI, colon, 2024: 1.153 MRSA 1.09 → 1.12 1 0 ’18’20’22’24 MRSA, 2017: 1.088MRSA, 2018: 0.000MRSA, 2019: 0.334MRSA, 2021: 0.682MRSA, 2022: 1.244MRSA, 2023: 1.568MRSA, 2024: 1.119 C. diff 0.79 → 0.22 1 0 ’18’20’22’24 C. diff, 2017: 0.794C. diff, 2018: 0.296C. diff, 2019: 0.727C. diff, 2021: 0.000C. diff, 2022: 0.115C. diff, 2023: 0.127C. diff, 2024: 0.220

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonMRSAC. diff
20170.8570.6401.0451.0880.794
20180.6791.6101.1070.0000.296
20191.2180.6640.4830.3340.727
20212.7060.8552.4210.6820.000
20220.0001.0601.1891.2440.115
20232.2910.4550.6411.5680.127
20240.3090.7941.1531.1190.220

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In Florida, its score is higher than 90% of the other 164 scored there.

In Orlando-Kissimmee-Sanford, FL area, its score is higher than 81% of the other 11 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 11% (Florida) to 33% (Orlando-Kissimmee-Sanford, FL area).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Florida: CMS cut 18 of 165 (11%); middle score −0.1935Florida 165 hospitals11% cut Orlando-Kissimmee-Sanford, FL area: CMS cut 4 of 12 (33%); middle score −0.2582Orlando-Kissimmee-Sanford, FL area12 hospitals33% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.4511 This hospital 0.4511 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Florida: CMS cut 18 of 165 (11%); middle score −0.1935Florida165 hospitals11% cut Orlando-Kissimmee-Sanford, FL area: CMS cut 4 of 12 (33%); middle score −0.2582Orlando-Kissimmee-Sanford, FL area12 hospitals33% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 0.4511 This hospital 0.4511

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045378%
South region1,17426322%−0.105679%
Florida1651811%−0.193590%
Orlando-Kissimmee-Sanford, FL area12433%−0.258281%
Minor teaching87318121%−0.056781%
100 to 299 beds1,19327523%−0.073280%
For-profit6519815%−0.259086%
Urban2,24151023%−0.057480%
This hospital0.4511
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 9. CMS cut 2 of the 8 nearest hospitals; the closest is 5 miles away.
5 mi10 mi25 mi8. AdventHealth New Smyrna Beach, New Smyrna Beach: score −0.1297, not cut, 26 miles87. Orlando Health-Health Central Hospital, Ocoee: score 0.5066, cut, 23 miles76. Orlando Health, Orlando: score −0.2121, not cut, 21 miles65. AdventHealth Orlando, Orlando: score −0.3414, not cut, 18 miles54. AdventHealth Deland, Deland: score −0.2920, not cut, 16 miles43. Oviedo Medical Center, Oviedo: score −0.3042, not cut, 12 miles32. AdventHealth Fish Memorial, Orange City: score −0.4724, not cut, 7 miles21. Halifax Health /UF Health Medical Center of Delton, Deltona: score 1.1149, cut, 5 miles1This hospital: Central Florida Lake Monroe Hospital

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalMilesScoreDecision
Halifax Health /UF Health Medical Center of Delton, Deltona, FL51.1149cut
AdventHealth Fish Memorial, Orange City, FL7−0.4724not cut
Oviedo Medical Center, Oviedo, FL12−0.3042not cut
AdventHealth Deland, Deland, FL16−0.2920not cut
AdventHealth Orlando, Orlando, FL18−0.3414not cut
Orlando Health, Orlando, FL21−0.2121not cut
Orlando Health-Health Central Hospital, Ocoee, FL230.5066cut
AdventHealth New Smyrna Beach, New Smyrna Beach, FL26−0.1297not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Halifax Health /UF Health Medical Center of DeltonDeltona, FL51.11491% cut$67KAbove the national median on 2 of 2 measures
2AdventHealth Fish MemorialOrange City, FL7−0.4724No cut$0Above the national median on 2 of 6 measures
3Oviedo Medical CenterOviedo, FL12−0.3042No cut$0Above the national median on 4 of 6 measures
4AdventHealth DelandDeland, FL16−0.2920No cut$0Above the national median on 2 of 6 measures
5AdventHealth OrlandoOrlando, FL18−0.3414No cut$0Above the national median on 1 of 6 measures
6Orlando HealthOrlando, FL21−0.2121No cut$0Above the national median on 3 of 6 measures
7Orlando Health-Health Central HospitalOcoee, FL230.50661% cut$345KAbove the national median on 5 of 6 measures
8AdventHealth New Smyrna BeachNew Smyrna Beach, FL26−0.1297No cut$0Above the national median on 3 of 6 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Central Florida Lake Monroe Hospital, Sanford, FL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/100161/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.